PMI Service Group Census Form

Property Census Form

Owners are requested to complete this form and keep all information current. Any information provided will be kept confidential, pursuant to the policies detailed in our Privacy Statement. Please message us to obtain a copy of our Privacy Policy.

The Illinois Condominium Property Act and Association governing documents require Association owners to provide contact information for emergency contact, notices, billing, etc.

Please take a moment to complete the following information so we can promptly and effectively communicate with you regarding your unit. Thank you.
Owner 1 Name

First NameLast Name
Owner 2 Name

First NameLast Name
E-mail Owner 1
example@example.com
E-mail Owner 2
example@example.com
Phone Owner 1
Format: (000) 000-0000.
Phone Owner 2
Format: (000) 000-0000.
Home Phone
Format: (000) 000-0000.
Property Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Enter Pet Information ( ex. Dog, Black, 60 lbs, Great Dane ):
Enter Make / Model / License of any owner vehicles:
Mortgagee
Lender for your mortgage
Insurance Company
Name of Insurance Company
Insurance Documents

Upload any insurance documents required by your Association here.
Cancelof
Emergency Contact if we cannot reach you:

First NameLast Name
Contact Phone
Format: (000) 000-0000.
Contact E-mail
example@example.com
Relationship with Owner(s)

Other
Signature
Date

MonthDayYear
Date
- Rental Property: Tenant Information
  
  This section for tenant information is for tenant-occupied rental properties only. If the property is owner-occupied, you may skip this section.
- Owner Off-Site Mailing Address:
  Enter owner mailing address
- Tenant 1 Name
  
  First NameLast Name
- Tenant 2 Name
  
  First NameLast Name
- E-mail Tenant 1
  example@example.com
- E-mail Tenant 2
  example@example.com
- Phone Tenant 1
  Format: (000) 000-0000.
- Phone Tenant 2
  Format: (000) 000-0000.
- Enter Make / Model / License of any tenant vehicles:
- TENANT Emergency Contact:
  
  First NameLast Name
- TENANT Emergency Contact Phone
  Format: (000) 000-0000.
- TENANT Emergency Contact E-mail
  example@example.com
- Relationship with tenant(s)
  
  Other
- Upload ALL required documents: Current Lease, Lease Rider(s), Crime-Free, Tenant Insurance, City Landlord, etc.
  
  Please upload any and all required rental documents here.
  Cancelof
- Should be Empty:

Rental Property: Tenant Information